When a smiling and cooperative patient complains of discomfort, nurses caring for this patient often harbor misconceptions about the patient's pain. Which of the following is true?
Regular use of narcotic analgesics leads to drug addiction
Amount of pain is reflective of actual tissue damage
Patients are the best judges of their pain
Chronic pain is psychological in nature
The Correct Answer is C
A. Regular use of narcotic analgesics leads to drug addiction. While opioids can cause dependence with prolonged use, addiction is characterized by compulsive drug-seeking behavior. When used appropriately for pain management, addiction risk is low.
B. Amount of pain is reflective of actual tissue damage. Pain perception varies widely among individuals. Some may experience severe pain with minimal tissue damage, while others may have little pain despite significant injury.
C. Patients are the best judges of their pain. Pain is subjective, and only the patient can accurately describe its intensity and quality. Nurses should trust the patient's self-report rather than rely solely on appearance or behavior.
D. Chronic pain is psychological in nature. Chronic pain often has a physiological basis, such as nerve damage or inflammation, though psychological factors can influence pain perception. It is not purely psychological.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Apical. The apical pulse, located at the apex of the heart, provides the most accurate measurement of heart rate, especially in patients with irregular rhythms. It is assessed by auscultation with a stethoscope over the fifth intercostal space at the midclavicular line.
B. Radial. The radial pulse is commonly used for routine pulse checks, but it may be less accurate in cases of irregular heart rhythms or weak peripheral circulation.
C. Brachial. The brachial pulse is typically used in infants and for blood pressure measurements, but it is not the most accurate method for assessing heart rate.
D. Popliteal. The popliteal pulse is located behind the knee and is used to assess circulation to the lower extremities, not for measuring heart rate accurately.
Correct Answer is D
Explanation
A. Temperature, pulse, respirations, BP. While these are standard vital signs, they do not include oxygen saturation or pain level, both of which are critical in a patient with chest pain.
B. Temperature, pulse, respirations, BP, pain. Pain is an essential assessment, especially for chest pain, but oxygen saturation should also be measured to assess for hypoxia, which can contribute to cardiac symptoms.
C. BP, respirations, temperature, pulse. This option omits both oxygen saturation and pain level, which are essential in evaluating cardiac and respiratory function in a patient presenting with chest pain.
D. Temperature, pulse, respirations, blood pressure, O2 sat, pain. This option includes all critical assessments for a patient with chest pain. Oxygen saturation helps assess respiratory and circulatory efficiency, and pain assessment is vital in determining the severity and possible cause of the chest pain.
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